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Obstetrics > Antenatal care > Flashcards

Antenatal care Flashcards

1
Q

Trimesters

A

first: <12 weeks
second: 13-26
third >27-birth

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2
Q

booking visit weeks

A

8-12 weeks

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3
Q

booking visit features

A

general information: diet, alcohol, smoking, folic acid, vitD, antenatal classes

BP, urine dipstick, check BMI

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4
Q

booking bloods/ urine

A

FBC, blood group, rhesus status, red cell alloantibodies, haemoglobinopathies(thalassaemia and sickel cells)

hepB, syphilis
HIV
urine culture

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5
Q

dating scan weeks

A

10-13+6

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6
Q

dating scan features:

A

CRL,multiple pregnancies identified

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7
Q

down syndrome testing

eeks

A

11-13+6 weeks

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8
Q

antenatal appointment weeks

A

16 weeks

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9
Q

anomaly scan weeks

A

18-20+6 weeks

USS

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10
Q

OGTT date

A

24-28weeks

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11
Q

anti-D injections date

A

28 and 34 weeks

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12
Q

when is symphysis-fundal height measured

A

> 24 weeks

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13
Q

vaccines in pregnant women

A

whooping cough 16 weeks

annual flu

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14
Q

folic acid in pregnancy

A

Take folic acid 400mcg from before pregnancy to 12 weeks (reduces neural tube defects)

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15
Q

effects of alcohol in pregnancy

A

Miscarriage

Small for dates

Preterm delivery

Fetal alcohol syndrome

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16
Q

features of fetal alcohol

A

Microcephaly (small head)

Thin upper lip

Smooth flat philtrum (the groove between the nose and upper lip)

Short palpebral fissure (short horizontal distance from one side of the eye to the other)

Learning disability

Behavioural difficulties

Hearing and vision problems

Cerebral palsy

17
Q

smoking in pregnancy effects

A

Fetal growth restriction (FGR)

Miscarriage

Stillbirth

Preterm labour and delivery

Placental abruption

Pre-eclampsia

Cleft lip or palate

Sudden infant death syndrome (SIDS)

18
Q

flying in pregnancy

A

The RCOG advises flying is generally ok in uncomplicated healthy pregnancies up to:

37 weeks in a single pregnancy

32 weeks in a twin pregnancy

19
Q

risk factors for gestational diabetes

A

BMI above 30

Previous baby >4.5kg

Previous gestational diabetes

FH of diabetes

Family origin with a high prevalence of diabetes

20
Q

risk factors for pre-eclampsia

A

BP & urinalysis for protein

> 40

Nulliparity

Pregnancy interval >20 years

FH

BMI >30

Renal or vascular disease

Multiple pregnancy

21
Q

what conditions are women screened for?

A 
rhesus negative
gestational diabetes
fetal growth restriction
venous thromboembolism
pre-eclampsia
22
Q

combined test down syndrome

A

Nuchal length
PAPP-A
bHCG
11-13+6

23
Q

quadruple test down syndrome

A 
15-20 weeks
inhibin A
UE3 (oestriol)
HCG
aFP
24
Q

25 weeks

A

Routine care: BP, urine dipstick, symphysis-fundal height (SFH)

25
Q

28 weeks

A

Routine care: BP, urine dipstick, SFH
Second screen for anaemia and atypical red cell alloantibodies. If Hb < 10.5 g/dl consider iron
First dose of anti-D prophylaxis to rhesus negative women

26
Q

31 weeks

A

If primip

routine care

27
Q

34 weeks

A

Routine care as above
Second dose of anti-D prophylaxis to rhesus negative women*
Information on labour and birth plan

28
Q

36 weeks

A

Routine care as above
Check presentation - offer external cephalic version if indicated
Information on breast feeding, vitamin K, ‘baby-blues’

29
Q

38 weeks

A

routine care as above

30
Q

40 weeks

A

routine care
only if primip
Discussion about options for prolonged pregnancy

31
Q

41 weeks

A

Routine care as above

Discuss labour plans and possibility of induction

32
Q

triple test down syndrome

A

14-20 weeks
BHCG
AFP
serum oestriol

33
Q

chorionic villus sampling

A

US-guided biopsy of placental tissue
testing is done earlier in pregnancy
before 15 weeks

34
Q

amniocentesis

A

US-guided aspiration of amniotic fluid

after 15 weeks

Obstetrics (10 decks)

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